Survival from massive intraoperative pulmonary thromboembolism during orthotopic liver transplantation

被引:28
作者
Manji, M [1 ]
Isaac, JL [1 ]
Bion, J [1 ]
机构
[1] Univ Birmingham, Queen Elizabeth Hosp, Dept Anaesthesia & Intens Care, Birmingham B15 2TT, W Midlands, England
关键词
liver transplantation; monitoring echocardiography; complications pulmonary embolism;
D O I
10.1093/bja/80.5.685
中图分类号
R614 [麻醉学];
学科分类号
100217 ;
摘要
We report a case of massive pulmonary embolism occurring at the time of graft reperfusion in a patient undergoing orthotopic liver transplantation. The clinical diagnosis of pulmonary embolus was aided by on-table echocardiography. Cardiopulmonary bypass and surgical embolectomy prevented her death. We discuss the differential diagnosis, possible aetiology of pulmonary embolism in this context and subsequent management.
引用
收藏
页码:685 / 687
页数:3
相关论文
共 9 条
  • [1] BAUBILLIER E, 1994, TRANSPLANTATION, V57, P1664
  • [2] CARMICHAEL FJ, 1985, ANESTH ANALG, V64, P108
  • [3] ELLIS JE, 1989, ANESTH ANALG, V68, P777
  • [4] DIAGNOSIS, TREATMENT, AND PREVENTION OF PULMONARY-EMBOLISM - REPORT OF THE WHO/INTERNATIONAL-SOCIETY-AND-FEDERATION-OF-CARDIOLOGY-TASK-FORCE .1.
    GOLDHABER, SZ
    MORPURGO, M
    [J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1992, 268 (13): : 1727 - 1733
  • [5] PLATELET AGGREGATES IN SMALL LUNG VESSELS AND DEATH DURING LIVER-TRANSPLANTATION
    GOSSEYE, S
    VANOBBERGH, L
    WEYNAND, B
    SCHEIFF, JM
    MOULIN, D
    DEGOYET, JD
    OTTE, JB
    [J]. LANCET, 1991, 338 (8766) : 532 - 534
  • [6] KANG YG, 1985, ANESTH ANALG, V64, P888
  • [7] NAVALGUND AA, 1988, ANESTH ANALG, V67, P400
  • [8] PULMONARY PLATELET AGGREGATES - POSSIBLE CAUSE OF SUDDEN PEROPERATIVE DEATH IN ADULTS UNDERGOING LIVER-TRANSPLANTATION
    SANKEY, EA
    CROW, J
    MALLETT, SV
    ALCOCK, RJ
    MORE, L
    BURROUGHS, AK
    ROLLES, K
    [J]. JOURNAL OF CLINICAL PATHOLOGY, 1993, 46 (03) : 222 - 227
  • [9] Youngberg J A, 1990, J Cardiothorac Anesth, V4, P155, DOI 10.1016/0888-6296(90)90232-5